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innate immune system first line of defense
physical barriers: epithelial layers of skin, mucosal/glandular tissues
chemical barriers: soluble substances that have antimicrobial activity or alter pH
2nd line of defense innate immune system
cellular response by tissue-resident immune cells (macrophages, dendritic cells, NK) → induce inflammation & activate adaptive immune cells
list 3 inflammatory responses
phagocytosis
production of molecules w/ antimicrobial activity
recruit fluid & cells to site of infection
how do inflammatory responses benefit the cell
eliminate pathogens/dead cells
promote healing
activate adaptive immunity
does innate or adaptive immunity have a faster response time?
innate
does innate or adaptive immunity have memory response?
adaptive; innate has very small response
how is cellular innate immunity activated?
PRRs on/inside tissue-resident cells bind to PAMPs
are PRRs membrane-bound or intracellular? what types of calls are they expressed on?
both
expressed on myeloid cells, lymphocytes
significance of PRRs on lymphocytes
increase their signaling & cytokine production; don’t activate them
why are PRRs expressed on non-immune cells?
cells need to be able to secrete cytokines & alert immune system
significance of toll-like receptors
one of the most important PRRs found on sentinel immune cells
bind pathogen onto LRRs (leucine-rich repeats) and result in cell activation
describe the process of phagocytosis
Phagocyte PRR recognizes PAMP on microbe
Phagocyte membrane’s actin filaments rearrange & extend to engulf microbes into phagosomes
Phagosomes merge with intracellular lysosomes → activate hydrolytic enzymes which degrade microbes
how do neutrophils induce inflammation and kill pathogens?
granules with antimicrobial/cytolytic proteins
ROS/RNS (from respiratory burst) that fuse w/ phagosomes
respiratory burst
neutrophils use O2 in environment to produce chemicals (ROS/RNS) to kill pathogens
how is phagocytosis triggered?
opsonization (opsonin receptors)
PRR/PAMP or DAMP interaction
opsonization
phagocyte recognition of proteins on microbial surfaces that enhance phagocytosis
opsonin receptors
bind to microbes and make them appealing to phagocytic cell
(ex: antibodies)
process of inflammation
bacteria enters tissue
PRRs of tissue-resident macrophages interact w/ bacterial PAMPs → induce secretion of pro-inflammatory chemokines by regular & immune cells
neutrophils & phagocytes follow chemokine gradient and induce inflammation
vasodilation, extravasation: allow fluid & rolling neutrophils (ROS/NOS) to attack pathogen
3 main APCs
b-cells
dendritic cells
macrophages
how do dendrites (innate immunity) activate adaptive immunity?
Sentinels in epithelium
Dendritic PRRs bind to PAMPs → upregulate MHC and costimulatory peptides (CD8086)
Present self-peptides on MHC-I; exogenous microbes on MHC-II
Travel through lymphatics to lymphoid tissue to present antigens to lymphocytes
what is the complement system?
set of 50 serum proteins floating in blood that eliminate pathogens or dying cells and form immune complexes (need to be activated first)
connects innate & adaptive immune system
immune complexes
formed by the complement system
antibodies that aggregate on cell surface → allow easy recognition for macrophages to clear them via phagocytosis
describe complement cascade
initiators bind to cell
complement molecules cleaved & activated
induce: opsonins, anaphylatoxins, membrane attack complex, complement receptors on immune cells
anaphylatoxins
produced via complement molecules, induce systemwide inflammation
membrane attack complex
produced via complement molecules
embed into pathogen membrane, poke holes for fluid entry
complement receptors
on immune cells, bind opsonins that are bound to pathogens & induce phagocytosis
what do all complement molecule activation pathways lead to?
termination: inflammation, opsonization, lysis
complement classical pathway
antibody binds to pathogen, complement molecules bind to antibodies
complement lectin pathway
MBL binds to carbohydrates on bacterial cells, induces complement
complement alternative pathway
spontaneously activated upon infection
how do pAPCs activate T-cells?
PRRs bind to antibodies/complement
phagocytosis induced, pathogen degraded (lysosomal-mediated mechanism)
presents antigenic peptides on MHC (surveillance mechanism to activate T-cells)
MHC locus
region of DNA that expresses MHC-I/II
what is MHC called in humans
HLA (human leukocyte antigen) complex
why does HLA make transplantation so complicated?
HLA is diverse among population b/c it’s a haplotype
MHC-I
glycoproteins expressed on almost all cells
presents endogenous peptides to CD8 T cells
MHC-II
glycoproteins expressed on APCs (macrophages, DCs, B cells)
present exogenous peptides to CD4 T cells
MHC spend most time presenting what?
self-peptides (to indicate cell is healthy)
self-peptide + MHC-I
healthy cell
foreign peptide + MHC-I
cell is infected
engage TC cell
foreign peptide + MHC-II
body is infected
engage TH cells
central tolerance
self peptide in MHC-I/II + developing T cell
testing T-cell for auto-reactivity
occurs in primary lymphoid organs
(if T cell reacts, dies by apoptosis)
peripheral tolerance
displaying self peptide in MHC-I/II to maintain tolerance to self-proteins
occurs in secondary lymphoid organs
(if lymphocyte reacts, dies by apoptosis)
MHC-I presentation pathway (endogenous pathway)
virus gets into cell genome & expresses its proteins
proteins degraded by proteasome and put into ER w/ MHC-I
proteins expressed in MHC-I
MHC-I shuttle through golgi complex to surface
MHC-II presentation pathway (exogenous pathway)
external materials enter cell via endocytosis/vesicles
lysosomal degradation in vesicle
vesicle merges w/ another vesicle containing MHC-II and goes to cell surface
describe autocrine mechanism T-cells use for clonal expansion
after activation, T cell produces its own IL-2 & IL-2 receptor → induces proliferation
Three (two)-signal hypothesis
TCR signaling (foreign peptide in MHC-II interacts w/ TCR)
Costimulatory interaction (CD80/86 on APC binds to CD28 on T-cell; CD80/86 unregulated by PAMP/PRR interaction)
Cytokines enhance proliferation and survival (IL-2)
What results from TCR activation?
downstream signaling that activates:
NF-KB
NFAT
AP1
results in: cell survival, proliferation, cell differentiation, effector function
T-cell anergy
T-cell non-responsiveness due to no costimulatory signal
if occurs too much → T-cell exhaustion (won’t respond to any further antigen)
What happens when T cell receives signal 1 and 2?
produces cytokines that enhance proliferation
What do coinhibitory receptors do? Why is it important?
Inhibit costimulation and T-cell activation
Important for maintaining peripheral tolerance & reducing inflammation
(also blocked during cancer treatment)
How does CD28 enhance TCR-enduced proliferation?
increases IL-2 growth factor
Ligands for CD28
CD80 (B7-1)
CD86 (B7-2)
Why are mature DCs the best activators of naive T cells?
They always have some level of CD80/86
How does CTLA-4 work
post-activation, gets up-regulated
binds to CD80/86 w/ higher affinity than CD28, cell no longer gets signal 2 → T-cell anergy
How does Ipilimumab work?
Major cancer therapy
Designed against CTLA-4 and prevents it from binding to CD28, allows T-cell to be active for longer
What is PD-1 (programmed cell death-1)? What does it bind to and what does it result in?
Coinhibitory receptor on B and T cells
binds PD-L1
results in inhibition of T-cell activation
what do interactions between PD-1 and PD-L1 regulate?
differentiation of TREGs (enhances/regulates immune suppressive function)
CTLA-4 and PD-1 binding lead to what?
T-cell anergy/exhaustion
T cell signal 3
T-cell activation shaped by cytokines produced by APCs and T cells
enhances proliferation and survival
Involves polarizing cytokines (determine what type of effector cells T cells become)
what cytokine induces optimal T-cell proliferation? What is its production increased by?
IL-2
TCR and costimulatory signals increase its production
Polarizing cytokines
part of T-cell signal 3
determine what type of effector cells the naive T-cells become
APCs
phagocytic: dendritic cell, macrophage
nonphagocytic: B lymphocytes
How do T-cells obtain rapid proliferation
signals 1 and 2 up regulate:
IL-2
a-chain of IL2R (most important chain of IL2R)
CD8 cytotoxic T cells
circulate to sites of infection and kill infected cells
CD4 helper T cells
secrete cytokines to regulate activity of other cell types (B cells, macrophages, T cells)
TREG polarizing cytokines and effector function
polarizing cytokines: IL-2, TGF-B
effector function: suppress immune response
TH17 polarizing cytokines and effector function
polarizing cytokines: IL-6, IL-23, TGF-B
effector function: activate neutrophils to combat extracellular pathogens (induce pro-inflammatory state)
TH2 polarizing cytokine and effector function
polarizing cytokines: IL-4
effector function: combats extracellular pathogens (class switch on B cells to IgE)
TH1 polarizing cytokines and effector function
polarizing cytokines: IL-12, IFN-gamma
effector function: respond to intracellular pathogens, activate macrophages
2 major responses from CD4 helper T-cells & define them
T1 response (cell-mediated): intracellular virus binds to intracellular PRR, produces IL-12 → triple-signal causes TH1 cell production → IFN
T2 response (extracellular): extracellular parasite binds to surface PRR, prodouces IL-14 → triple-signal causes TH2 cell production → IL-4/5/13
TH17
Promotes activation of neutrophils to combat extracellular bacteria and fungi
TH2
Promotes activation of B cells to fight extracellular pathogens
TH1
Promotes activation to fight intracellular bacteria and viruses
When do antigen-specific memory T cells remain?
after contraction phase
PAMPs (pathogen-associated molecular patterns)
recurrent molecular patterns of pathogen molecules
DAMPs (damage-associated molecular patterns)
antigens associated with dead or dying cells